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JAMA Oncol. 2020 Jun 1;6(6):888-894. doi: 10.1001/jamaoncol.2020.0930.
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Durvalumab With or Without Tremelimumab for Patients With Metastatic Pancreatic Ductal Adenocarcinoma: A Phase 2 Randomized Clinical Trial.度伐利尤单抗联合或不联合曲美木单抗治疗转移性胰腺导管腺癌患者:一项2期随机临床试验
JAMA Oncol. 2019 Oct 1;5(10):1431-1438. doi: 10.1001/jamaoncol.2019.1588.
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Hepatocellular carcinoma treatment: hurdles, advances and prospects.肝细胞癌治疗:障碍、进展与前景
Hepat Oncol. 2018 Sep 28;5(2):HEP08. doi: 10.2217/hep-2018-0002. eCollection 2018 Apr.
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Results from a Phase IIb, Randomized, Multicenter Study of GVAX Pancreas and CRS-207 Compared with Chemotherapy in Adults with Previously Treated Metastatic Pancreatic Adenocarcinoma (ECLIPSE Study).一项关于 GVAX 胰腺和 CRS-207 与化疗在先前治疗过的转移性胰腺腺癌成人中的 IIb 期、随机、多中心研究的结果(ECLIPSE 研究)。
Clin Cancer Res. 2019 Sep 15;25(18):5493-5502. doi: 10.1158/1078-0432.CCR-18-2992. Epub 2019 May 24.
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Paired whole exome and transcriptome analyses for the Immunogenomic changes during concurrent chemoradiotherapy in esophageal squamous cell carcinoma.配对全外显子组和转录组分析在同步放化疗期间食管鳞癌免疫基因组变化。
J Immunother Cancer. 2019 May 16;7(1):128. doi: 10.1186/s40425-019-0609-x.
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Analysis of DNA Damage Response Gene Alterations and Tumor Mutational Burden Across 17,486 Tubular Gastrointestinal Carcinomas: Implications for Therapy.分析 17486 例管状胃肠癌中的 DNA 损伤反应基因改变和肿瘤突变负荷:对治疗的启示。
Oncologist. 2019 Oct;24(10):1340-1347. doi: 10.1634/theoncologist.2019-0034. Epub 2019 Apr 30.
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Perioperative chemotherapy with fluorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesophageal junction adenocarcinoma (FLOT4): a randomised, phase 2/3 trial.氟尿嘧啶+亚叶酸、奥沙利铂和多西紫杉醇与氟尿嘧啶或卡培他滨+顺铂和表柔比星用于局部晚期可切除胃或胃食管交界处腺癌的围手术期化疗(FLOT4):一项随机、2/3 期试验。
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Indoleamine 2,3-dioxygenase 1 and Programmed Cell Death-ligand 1 Co-expression Predicts Poor Pathologic Response and Recurrence in Esophageal Squamous Cell Carcinoma after Neoadjuvant Chemoradiotherapy.吲哚胺2,3-双加氧酶1与程序性细胞死亡配体1共表达预示食管鳞状细胞癌新辅助放化疗后病理反应不佳及复发
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胃肠道恶性肿瘤的免疫治疗与放射治疗:希望还是炒作?

Immunotherapy and radiation therapy for gastrointestinal malignancies: hope or hype?

作者信息

Badiyan Shahed, Kaiser Adeel, Eastman Bory, Forsthoefel Matthew, Zeng Jing, Unger Keith, Chuong Michael

机构信息

Washington University School of Medicine in St. Louis, St. Louis, MO, USA.

University of Maryland Medical Center, Baltimore, MD, USA.

出版信息

Transl Gastroenterol Hepatol. 2020 Apr 5;5:21. doi: 10.21037/tgh.2019.10.07. eCollection 2020.

DOI:10.21037/tgh.2019.10.07
PMID:32258525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7063525/
Abstract

Immunotherapy represents the newest pillar in cancer care. Although there are increasing data showing the efficacy of immunotherapy there is a spectrum of response across unselected populations of cancer patients. In fact, response rates can be poor even among patients with immunogenic tumors for reasons that remain poorly understood. A promising clinical strategy to improve outcomes, which is supported by an abundance of preclinical data, is combining immunotherapy with radiation therapy. Here we review the existing evidence and future directions for combining immunotherapy and radiation therapy for patients with gastrointestinal cancers.

摘要

免疫疗法是癌症治疗领域最新的支柱。尽管越来越多的数据表明免疫疗法的疗效,但在未经挑选的癌症患者群体中,反应存在差异。事实上,即使在具有免疫原性肿瘤的患者中,反应率也可能很低,原因仍不清楚。大量临床前数据支持的一种有望改善治疗效果的临床策略是将免疫疗法与放射疗法相结合。在此,我们综述了免疫疗法与放射疗法联合用于胃肠道癌症患者的现有证据和未来方向。